Organization
TLC MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUES HERVE DESIR ARNP (PRESIDENT)
(239) 645-3131
Entity
Organization
Contact information
Practice address
2040 COLLIER AVE, SUITE A, FORT MYERS, FL 33901-8124
(239) 645-3131
Mailing address
1411 SE 33RD ST, CAPE CORAL, FL 33904-4275
(239) 645-3131
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/22/2015
Last updated
08/22/2015
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